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Korean Journal of Anesthesiology 1994;27(2):164-169.
DOI: https://doi.org/10.4097/kjae.1994.27.2.164   
Single Caudal Anesthesia for Total Hip Replacement in Geriatric Patients.
Yang Sik Shin, Kyung Hur, Young Ran Kwak, Chang Dong Han
1Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
2Department of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Caudal anesthesia for total hip replacement in geriatric patients has been evaluated clinically. The caudal epidural puncture was performed by a 22 G short needle through sacral hiatus with a lateral decubitus position. 1.5% lidocaine 20 mL and 0.5% bupivacaine 15 mL mixed with 1:200,000 epinephrine and 2 mg morphine was used as an anesthetics. The results were follows ; 1) The onset of caudal anesthesia was 7.9+/-4.5 min (2-20 min) and the duration was 4.8+/-3.0 hrs (1-12 hrs). 2) Anesthetic sensory level was not related with the patient's weight or height. 3) The failure rate including systemic toxicity was 13%. 4) The most common complication was hypotension and its incidence was 26.6%. 5) Time to first analgesics was 8.3+/-3.6 hrs. These results indicate that caudal anesthesia in lateral decubitus position is a recommendable anesthetic technique for total hip replacement in geriatric patients. However, the further studies for the determinations of the optimum dose of local anesthetics are needed.
Key Words: Caudal anesthesia; Geriatrics; Total hip replacement


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